Information Collection

NCHS Questionnaire Design Research Laboratory - testing Washington Group International Disability Questions

IC 187068 under ICR 200803-0920-002 · OMB 0920-0222.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0222 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
QDRL OMB-10-day package Wash Group Disability att 2.doc	Other-Testing Instrument
QDRL OMB-10-day package Wash Group Disability att 1.doc Advertisement - flyer	IC Document

IC Title:

NCHS Questionnaire Design Research Laboratory - testing Washington Group International Disability Questions

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Testing Instrument			QDRL OMB-10-day package Wash Group Disability att 2.doc		No	No	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: 09-20-0164 Health and Demographic Surveys Conducted in Probability Samples of the US Population

FR Citation: 49 FR 37693

Number of Respondents: 20

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	20	0	0	0	0	0
Annual IC Time Burden (Hours)	20	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Advertisement - flyer	QDRL OMB-10-day package Wash Group Disability att 1.doc	10/27/2008

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.